Dale Gedge Johnson
Pediatric Surgery
100 N Mario Capecchi Dr Suite 2600
Salt Lake City
, Utah 84113-1100
Dale Gedge Johnson
Pediatric Surgery
100 N Mario Capecchi Dr Suite 2600
Salt Lake City
, Utah 84113-1100
(801) 662-2980
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Dale Gedge Johnson
- 100 N Mario Capecchi Dr Suite 2600
- Salt Lake City, UT
- Zip : 84113-1100
- Fax : (801) 662-2980
- Phone : (801) 662-2950
Second Address
- Dale Gedge Johnson
- 100 N Mario Capecchi Dr Suite 2600
- Salt Lake City, UT
- Zip : 84113-1100
- Fax : (801) 662-2980
- Phone : (801) 662-2950
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 1473781205 | UT |
National Provider Identifier
| NPI | 1275790776 |
|---|---|
| Provider Name | Dale Gedge Johnson |
| First Address | Salt Lake City, UT 84113-1100 |
| Second Address | Salt Lake City, UT 84113-1100 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/05/2008 |
| Last Update Date | 21/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 03594 | (05) | UT |
| D20352 | (02) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.